Individual
JENNIFER LEIGH MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L, CHT
Contact information
Practice address
5905 N MAYFAIR ST, SPOKANE, WA 99208-1127
(509) 462-8010
(509) 462-8011
Mailing address
5905 N MAYFAIR ST STE 100, SPOKANE, WA 99208-1127
(509) 462-8010
(509) 462-8011
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
TL10000801
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7680325
—
WA
01
—
99960
DEPT. OF LABOR & INDUSTRY
WA
Enumeration date
01/08/2008
Last updated
09/23/2024
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